Mount Sinai Hospitalization at Home and Rehabilitation at Home - HaH Implementation Manual

MACT is a health care innovation developed by the Icahn School of Medicine at Mount Sinai and modeled after a similar program Hospital at Home pioneered at the Johns Hopkins University Schools of Medicine and Public Health. MACT stands for Mobile Acute Care Team, and its full name reveals the fundamentals of the program.

In the same way that hospital patients receive care from a cadre of nurses, physicians, social workers, and other professional and support staff, MACT patients and their families have access to an interdisciplinary team of professionals dedicated to treating and monitoring their health. This team of registered nurses, doctors, nurse practitioners, social workers, lab technicians, home health aides, rehabilitation specialists, and other disciplines works together in a coordinated manner and is in contact multiple times a day.

In other countries, such as Australia, New Zealand, the United Kingdom, Italy, and Israel, programs similar to MACT are much more common. In the United States, adoption has been much slower. But the tide is changing and evidence of the benefits of home-based hospital care is mounting.